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| tenormin withdrawal tenormin dosage | tenormin sudden death Cardio Health Sudden Death - New York Daily News Current Archive Select a Topic Allergy Alt. Medicine Arthritis Asthma Beyond Diets Aches & Pains Breast Cancer Cancer Cardio Health Kids' Health Colon Cancer Contraception Emphysema Dental Health Diabetes Elder Care ER Epilepsy Eye Care Fertility Fitness Digestive Health Hair Loss Headache Health Care Healthy tenormin sudden death Aging HIV and AIDS Infections Kidney tenormin sudden death Health Leukemia Liver Health Lung Cancer Lymphoma MS Men's Health Mental Health Nutrition Osteoporosis Pregnancy Sexual Health Skin Health Sleeping Special Events Stroke Surgery Teen Health Thyroid Health Urology Vascular Women Health Central Get the best tenormin sudden death health news and info from two great sources: The Daily News' constantly updated Health section, and our online resource center from Healthology.com. 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NIE SECTION General Health Women's Health Men's Health Healthy tenormin sudden death Aging Select a Health Topic ADD & ADHD Allergy Alternative Medicine Alzheimer's Disease Arthritis Asthma Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Diet & Weight Loss Elder Care Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair tenormin sudden death Loss Headache Healthcare Today Healthy Aging Heartburn HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Men's Health Mental Health Multiple Sclerosis Nutrition Osteoporosis Parkinson's Disease Pregnancy & Childbirth Prostate Health Sexual Health Skin Health Sleep Disorders Stroke Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health View All Health Topics Search Tips « BACK TO CARDIO HEALTH Sudden Death By: Anthony R. Magnano, MD, MPH Printer Friendly Version VIDEO tenormin sudden death ON DEMAND Peripheral Arterial Disease: A Disease You Should Know About Read Transcript >>Watch Video >> Introduction How Does Sudden Death Occur? Do All Types of Arrhythmias Cause Sudden Death? Do All Cardiac Arrests Lead to Sudden Death? Who is at Risk for Sudden Cardiac Death? Treatment to Prevent Sudden Cardiac Death What Can Society Do to Prevent Sudden Death? Summary Introduction Sudden death is tenormin sudden death generally considered any "natural," unexpected death that occurs within one hour after symptoms begin. Sudden death is one of the leading causes of death in the United States, accounting for 300,000 to 500,000 deaths each year. While the threat of sudden death is certainly a tenormin sudden death frightening prospect, open discussion of the risk factors for sudden death is a crucial step in preventing this all too common problem. It is extremely important for doctors and patients to understand and identify those at risk for sudden tenormin sudden death death because many actions can tenormin sudden death be taken to minimize this risk. The vast majority of sudden death is caused by heart disease, although other illnesses such as massive bleeding, strokes, and pulmonary emboli (a blood clot traveling to the lung) may also cause this problem. Sudden cardiac death frequently occurs tenormin sudden death in people with known or suspected heart disease, but it may rarely occur in people with no known cardiac abnormalities. Many sudden deaths occur quite rapidly, oftentimes within seconds or minutes. The choice of one hour between onset of symptoms and death is rather arbitrary. However, this has been adopted as the standard definition. Furthermore, the term "natural" is sometimes included to emphasize that deaths tenormin sudden death caused by accidents, murder, suicide, or other external circumstances may occur suddenly, but are not considered “sudden deaths” because the cause of tenormin sudden death death is known and does not directly reflect the individual's pre-existing health condition. How Does Sudden Death Occur? Whenever tenormin sudden death blood flow to the brain is abruptly and severely decreased, loss of consciousness will occur. This loss of consciousness is called fainting or syncope. A prolonged decrease in blood flow to the brain can cause sudden death. Almost always, this problem is caused by tenormin sudden death a cardiac arrhythmia, which is any tenormin sudden death abnormality in the heart’s rhythm or rate. For this reason, I am using the terms sudden death tenormin sudden death and sudden cardiac death somewhat interchangeably. However, it is important to recognize that the cause of sudden death cannot always be determined with certainty. Moreover, when a death is unwitnessed, it is difficult to be sure whether or not the death occurred suddenly (i.e., within one hour of symptom onset). Arrhythmias that cause sudden death do so because they rapidly impair the heart's ability to pump blood. This is different from congestive tenormin sudden death heart failure, which is a more gradual process in which the heart continues to pump blood, although at less than normal levels of effectiveness. Do All Types of Arrhythmias Cause Sudden Death? No. Only arrhythmias that cause cardiac arrest will cause sudden death. Cardiac arrest tenormin sudden death is the abrupt failure of the heart's pumping function that requires immediate treatment. Most arrhythmias that cause cardiac arrest are fast arrhythmias of the ventricle (the bottom muscular chamber of the heart) such as ventricular tachycardia and tenormin sudden death ventricular fibrillation. Extremely slow rhythms (called bradycardia or heart block) can also lead to sudden death in some cases. Your doctor may have told you that you have an arrhythmia. In general, only certain arrhythmias pose a serious risk for sudden death. The most common arrhythmias are atrial arrhythmias such as atrial fibrillation, atrial flutter, single extra beats (such as atrial premature contractions, termed APCs) or SVT (supraventricular tachycardia). In atrial tenormin sudden death fibrillation, the atria lose the ability to contract properly, producing an irregular and rapid heartbeat. SVT is a fast heart rhythm arising from the upper chambers of the tenormin sudden death heart. A flutter is similar to atrial fibrillation, but it produces a regular and rapid heartbeat. The simplest arrhythmia is a single extra heartbeat, called a premature beat (or premature contraction). While these disorders may be associated with tenormin sudden death palpitations or other symptoms, they typically do tenormin sudden death not impair the heart's ability to pump blood to the extent required to produce a cardiac arrest or sudden death. Ventricular premature beats (commonly called VPCs) may or may not be a significant risk factor for sudden death, depending upon their frequency and pattern. Do All Cardiac Arrests Lead to Sudden Death? No. In very rare cases, a cardiac arrest may stop on its own. However the vast majority will result in sudden death tenormin sudden death unless cardiopulmonary resuscitation (CPR) is provided. CPR is a life-saving technique that both medical professionals and lay persons can provide. CPR consists of chest compressions and mouth-to-mouth ventilation. By compressing on the victim's chest, you can cause blood to flow through the tenormin sudden death heart tenormin sudden death to the body's organs, including the brain. While the amount of blood flow provided by CPR is far below normal levels, it can be enough for survival until more sophisticated tenormin sudden death medical help arrives. Mouth-to-mouth ventilation may also be helpful tenormin sudden death in tenormin sudden death maintaining blood oxygen levels during CPR. It is important to recognize that CPR is only a temporizing measure, maintaining blood flow to the brain until the heart rhythm and pump function can be restored. Depending on the type of cardiac arrest, restoration of the heart's normal rhythm is tenormin sudden death attempted using medications, cardiac defibrillation, or both. Cardiac defibrillation refers to the use of paddles that are placed on a patient's chest to deliver an electrical shock to the heart. Who is at Risk for Sudden Cardiac Death? While anyone theoretically could die suddenly, the chances are extremely small for most people. In the overall population about one in 500 to 1,000 people will tenormin sudden death die suddenly each year. While this is a rather high number, the chances are much lower for most healthy people and much greater for certain groups of patients. Those who have survived a previous cardiac arrest are definitely at high risk of having another cardiac arrest. Since each episode of cardiac arrest is associated with a high risk of dying, the risk for sudden death is high in these people (approximately 25 percent risk of death per year). Past heart disease The risk is similarly high if you have advanced congestive heart failure or arrhythmias occurring after a myocardial infarction (heart attack). Other heart diseases associated with an elevated risk for sudden death include those with hypertrophic heart disease (thickening of the heart wall as a result of either high blood pressure or genetic factors), some types of valvular heart disease (such as severe aortic stenosis), or previous heart tenormin sudden death attacks. Even if you have no known heart disease, but many risk factors for heart disease such as diabetes, high blood pressure, tobacco use, high cholesterol, or a strong family history of coronary artery disease, you may be at increased tenormin sudden death risk for sudden death. Genetic diseases Some patients have hearts that tenormin sudden death appear normal yet are nevertheless at high risk for sudden death. One major group of people in this category is patients with inborn genetic diseases that affect the heart's tenormin sudden death electrical system. These "electrical" disorders are relatively rare, though medical research efforts are identifying an increasing number of genes that cause lethal arrhythmias. The long-QT syndrome tenormin sudden death and Brugada's syndrome are important examples of hereditary syndromes that predispose patients to cardiac arrhythmias. Similar genetic disorders probably account for some cases of the sudden infant death syndrome (SIDS). Likewise, tenormin sudden death a syndrome of premature sudden death exists among apparently healthy southeast Asians and Japanese individuals. Again, inherited electrical diseases of the heart appear to account for tenormin sudden death many of these deaths. Medications Various medications are known to cause lethal arrhythmias and sudden death in rare circumstances. This has tenormin sudden death been an important topic in recent times, leading to the withdrawal of many drugs tenormin sudden death from the marketplace. Two recent examples are the anti-histamine allergy medications astemizole (Hismanal) and terfenadine (Seldane). The use of numerous other medications has been severely restricted, such as the antipsychotic medication thioridazine (Mellaril) and the stomach motility medication cisapride (Propulsid). However, many medications remain on the market in situations where the benefits of the medications are judged to outweigh their risks. Some examples include specific antibiotics tenormin sudden death (such as erythromycin), antifungal medications (such as fluconazole), tricyclic antidepressants (such as amitryptyline, sold as Elavil), and anti-arrhythmic medications (such as sotolol, sold as Betapace). However, the risk can be further increased as a result of drug-drug interactions when specific combinations of medications are used. As always, it is important to review the possibility of drug-drug interactions with your primary care provider and pharmacist. Blood salt levels Finally, abnormal tenormin sudden death blood salt (electrolyte) levels can promote the onset of dangerous arrhythmias. Abnormal potassium, magnesium, tenormin sudden death and calcium levels are frequently the cause. If you use diuretic medications, you should have your blood electrolyte levels checked periodically. Certain endocrine diseases may also affect the body's electrolyte levels. Some patients require use of potassium or magnesium tablets or adjustment in their other medications to maintain proper blood electrolyte levels. Treatment to Prevent Sudden Cardiac Death If your physician has tenormin sudden death identified that you are at elevated risk for sudden cardiac death, there are several ways that risk can be reduced. First, it is critical to optimally treat any underlying medical conditions that tenormin sudden death you may have. This includes treatment of congestive heart failure, coronary tenormin sudden death artery disease, hypertension, and cholesterol. Avoidance of tobacco is also important. Second, several widely prescribed medications can reduce the risk of sudden death in certain groups of patients. One example is the use of beta-blocking medications in patients with coronary artery disease, congestive heart failure, or the inherited long-QT syndrome. Commonly used beta-blocking medications include propranolol (Inderal), metoprolol (Lopressor or tenormin sudden death Toprol XL) tenormin sudden death and atenolol (Tenormin). Unfortunately, some individuals will remain at extreme high risk for sudden death despite the above treatments. The mainstay of treatment tenormin sudden death for these patients is the implantable cardiac defibrillator. This device treats ventricular arrhythmias by sensing their occurrence and providing a shock to terminate the arrhythmia before it leads to sudden death. For slow arrhythmias, pacemakers are used. Pacemakers sense the heart tenormin sudden death rate; when it falls below a set limit, the pacemaker begins to pace the heart at a programmed rate. For certain individuals, anti-arrhythmic medication such as amiodarone (Cordarone) can be useful in preventing life-threatening cardiac arrhythmias. Evaluation of Risk of Sudden Cardiac Death There are several tests available that I use to evaluate patients who are at increased risk for sudden death. We already discussed the major patient groups that are at tenormin sudden death risk for sudden death. However, treating every patient who has had a heart attack or heart failure with an implantable cardiac defibrillator would be extraordinarily expensive and invasive tenormin sudden death and beneficial to relatively few patients. For this reason, I perform various tests in certain patients at intermediate risk level for sudden death. The results of tenormin sudden death these tests help determine whether it is most appropriate to recommend an implantable defibrillator, anti-arrhythmic medications, or simply the best medical management of underlying heart disease. The most frequently used tests include a Holter monitor, which records your electrocardiogram (EKG or ECG) for a 24-hour period. This can detect whether a patient is having dangerous extra heartbeats during a typical day. An electrophysiology study (commonly called an "EP study") is a test in which catheters are placed inside tenormin sudden death of the heart. We test the ability to tenormin sudden death provoke abnormal arrhythmias using the catheters. EP study results are very helpful in determining the risk of future arrhythmias for some groups of patients. Other methods are being actively studied as better tests to predict risk of sudden death. What Can Society Do to Prevent Sudden Death? Society can play an extremely important role in preventing sudden cardiac death. First, awareness of the problem is a critical step. All individuals should be encouraged to learn CPR. The tenormin sudden death more people in a community who know CPR, the better the chances of survival for those experiencing a cardiac arrest. If you tenormin sudden death have a family member or neighbor who has significant heart disease, there is an even greater reason to consider becoming certified in CPR. In many cases, I encourage my patient’s family members to learn CPR. Second, the emergency medical services in local communities need to continue to work to decrease response times to emergency calls. For example, communities in Seattle, Washington have demonstrated convincingly that this approach improves the odds of survival for those with cardiac arrest. Finally, many researchers and health tenormin sudden death policy officials are promoting campaigns for public access cardiac defibrillators. This involves the widespread placement of defibrillators in public places. The defibrillators are specially designed to deliver therapy only tenormin sudden death when appropriate, making them more user-friendly than standard defibrillators. To date, public defibrillators have been tested and used in airplanes, casinos, shopping malls, and other public places. However, logistical and financial issues have delayed the widespread placement of public access defibrillators. It is likely that this important approach will enjoy greater implementation in the future. Summary Sudden death is usually the result of a cardiac arrhythmia. The risk of sudden death depends upon the presence of underlying heart disease as well as the result of diagnostic tests. In many cases, optimal treatment of any underlying cardiac disease and risk factors may reduce your chances of experiencing sudden death. The major treatments for patients at tenormin sudden death very high risk for sudden cardiac death include implantable cardiac defibrillators, pacemakers, and anti-arrhythmic medications. Several public health measures could be extremely valuable in the treatment of cardiac arrest, including tenormin sudden death increased knowledge of CPR amongst nonmedical professionals, improved response times for local emergency medical services, and more widespread availability of public access defibrillators. RELATED PROGRAMS Peripheral Arterial Disease: A Disease You Should Know About Description There's a good chance you've never heard of peripheral arterial disease, or PAD. But this blockage tenormin sudden death of the leg arteries affects an estimated 8-12 million people in the U.S. alone. The condition can lead to painful tenormin sudden death leg symptoms, but most people experience no symptoms at tenormin sudden death all, and the disease is dangerously underdiagnosed. Why aren't more doctors diagnosing PAD? Who's most at risk? And how is PAD connected to stroke and heart attack? Tune in to learn the answers to these questions and more. Watch VideoRead Transcript Select a Health tenormin sudden death Topic ADD & ADHD Allergy Alternative Medicine Alzheimer's Disease Arthritis Asthma Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Diet & Weight Loss Elder Care Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy tenormin sudden death Aging Heartburn HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Men's Health Mental Health Multiple Sclerosis Nutrition Osteoporosis Parkinson's Disease Pregnancy & Childbirth Prostate Health Sexual Health Skin Health Sleep Disorders Stroke Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health View All Health Topics Search Tips Copyright Healthology Inc., A Health Education Company Privacy Policy - Disclaimer - Editorial & Sponsorship Policy LEFT tenormin sudden death Visit other Real Cities sites Select a city Akron/Cleveland, OH Austin, TX Boise, ID Charlotte, NC Cincinnati, OH Dallas, TX Denver, CO Detroit, MI Fort Worth, TX tenormin sudden death Indianapolis, IN Kansas City, MO Knoxville, TN Lexington, KY Louisville, KY Memphis, TN Miami, FL Milwaukee, WI Minneapolis/St. Paul, MN New Orleans, LA New York, NY Norfolk, VA Philadelphia, PA Phoenix, AZ Pittsburgh, PA Portland, OR Providence, RI Richmond, VA tenormin sudden death Riverside, CA San Francisco Bay Area, CA Seattle, WA St. Louis, MO Spokane, WA Tampa/St. Petersburg, FL Tucson, AZ Winston-Salem, NC More... Home | News & tenormin sudden death Views | Sports | Entertainment | Business | Boroughs | City Life | Services All contents © 2004 Daily News, L.P. Disclaimer and Copyright Notice | Our Privacy Policy Sudden Death Sudden Death Written by: Anthony R. Magnano, MD, MPH - Columbia University College of Physicians and Surgeons Editorial Review: September 24, 2004 Sudden death tenormin sudden death is generally considered any "natural," unexpected death that occurs within one hour after symptoms begin. Sudden death is one of the leading causes of death in the tenormin sudden death United States, accounting for 300,000 to 500,000 deaths each year. While the threat of sudden death is certainly a frightening prospect, open discussion of the risk factors for sudden death is a crucial step in preventing this all too common problem. It is extremely important for tenormin sudden death doctors and patients to understand and identify those at risk for sudden death because many actions can be taken to minimize this risk. The vast majority of sudden death tenormin sudden death is caused by heart disease, although other illnesses such as massive bleeding, strokes, and pulmonary emboli (a blood clot tenormin sudden death traveling to the lung) may also tenormin sudden death cause this problem. Sudden cardiac death frequently occurs in people with known or suspected heart disease, but it may rarely occur in people with no known cardiac abnormalities. Many sudden deaths occur quite rapidly, oftentimes within seconds or minutes. tenormin sudden death The choice tenormin sudden death of one tenormin sudden death hour between onset of symptoms and death is rather arbitrary. However, this has been adopted as the standard definition. Furthermore, the term "natural" is sometimes included tenormin sudden death to emphasize that deaths caused by accidents, murder, suicide, or tenormin sudden death other external circumstances may occur suddenly, but are not considered "sudden deaths" because the cause of death is known and does not directly reflect tenormin sudden death the individual's pre-existing health condition. How Does Sudden Death Occur? Whenever blood flow to the brain is abruptly and severely decreased, loss of consciousness tenormin sudden death will occur. This loss of consciousness is called fainting or syncope. A prolonged decrease in blood flow to the brain can cause tenormin sudden death sudden tenormin sudden death death. Almost always, this problem is caused by a cardiac arrhythmia, which is any abnormality in the heart's rhythm or rate. For this reason, I am using the terms sudden death and sudden cardiac death somewhat interchangeably. However, it is important to recognize that the cause of sudden death cannot always be tenormin sudden death determined tenormin sudden death with certainty. Moreover, when a death is unwitnessed, it is difficult to tenormin sudden death be sure whether or not the death occurred suddenly (i.e., within one hour of symptom onset). Arrhythmias that cause sudden death do so because they rapidly impair the heart's ability to pump blood. This is different from congestive heart failure, which is a more gradual process in which the heart continues to pump blood, although at less than normal levels of effectiveness. Do All Types of Arrhythmias Cause Sudden Death? No. Only arrhythmias that cause cardiac tenormin sudden death arrest will cause sudden death. Cardiac arrest is the abrupt failure of the heart's pumping function that requires immediate treatment. Most arrhythmias that cause cardiac arrest are fast arrhythmias of the ventricle (the bottom muscular chamber of tenormin sudden death the heart) such as ventricular tachycardia and ventricular fibrillation. Extremely slow rhythms (called bradycardia or heart block) can also lead to sudden death in some cases. Your doctor may have told you that you have an arrhythmia. In general, only certain arrhythmias pose a serious risk for sudden death. The most common arrhythmias are atrial arrhythmias such as atrial fibrillation, atrial flutter, single extra beats (such as atrial premature contractions, termed APCs) or SVT (supraventricular tachycardia). In atrial fibrillation, the atria lose the ability to contract properly, producing an irregular and rapid heartbeat. SVT is a fast heart rhythm arising from the upper chambers of the heart. A flutter is similar tenormin sudden death to atrial fibrillation, but it produces a regular and rapid heartbeat. The simplest arrhythmia is a single extra heartbeat, called a premature beat (or premature contraction). While these disorders may be associated with palpitations or other symptoms, they typically do not impair the heart's ability to pump blood to the extent required to produce a cardiac arrest or sudden death. Ventricular premature beats (commonly called VPCs) may or may not be a significant risk factor for sudden death, depending upon their frequency and pattern. Do All Cardiac Arrests Lead to Sudden Death? No. In very rare cases, a cardiac arrest may stop on its own. However the vast majority will result in sudden death unless cardiopulmonary resuscitation (CPR) is provided. CPR is a life-saving technique that both medical professionals and lay persons can provide. CPR consists of chest compressions and mouth-to-mouth ventilation. By compressing on the victim's chest, you can cause blood to flow through the heart to the body's organs, including the brain. While the amount of tenormin sudden death blood flow provided by tenormin sudden death CPR is far below normal levels, it can be enough for survival until more sophisticated medical help arrives. Mouth-to-mouth ventilation may also be helpful in maintaining blood oxygen levels during CPR. It is important to recognize that tenormin sudden death CPR is only a temporizing measure, maintaining blood flow to the brain until the heart rhythm and pump function can be restored. Depending on the type of cardiac arrest, restoration of the heart's normal rhythm is attempted using medications, cardiac defibrillation, or both. Cardiac defibrillation refers to the use of paddles that are placed on a patient's chest to deliver an electrical shock to the heart. Who is at Risk for Sudden Cardiac Death? While anyone theoretically could die suddenly, the chances are extremely small for tenormin sudden death most people. In the overall population about one in 500 to 1,000 people will die suddenly each year. While this is a rather high number, the chances are much lower for most healthy people and much greater for certain groups of patients. Those who have survived a previous cardiac arrest are definitely at high risk of having another cardiac arrest. Since each episode of cardiac arrest is associated with a high risk of dying, the risk for sudden death is high in these people (approximately 25 percent risk of death per year). Past heart disease The tenormin sudden death risk is similarly high if you have advanced congestive heart failure or arrhythmias occurring after a myocardial infarction (heart attack). Other tenormin sudden death heart diseases associated with tenormin sudden death an elevated risk for sudden death include those with hypertrophic heart disease (thickening of the heart wall as a result of either high blood pressure or genetic factors), some types of valvular heart disease (such as severe aortic stenosis), or previous heart attacks. Even if you have tenormin sudden death no known heart disease, but many risk factors for heart disease such as diabetes, high blood pressure, tobacco tenormin sudden death use, high cholesterol, or a strong family history of coronary artery disease, you may be at increased risk for sudden death. Genetic diseases Some patients have hearts that appear normal yet are nevertheless at high risk for sudden death. One major group of people in this category is patients with inborn genetic tenormin sudden death diseases that affect the heart's tenormin sudden death electrical system. These "electrical" disorders are relatively rare, though medical research efforts are identifying an increasing number of genes that cause lethal arrhythmias. The long-QT syndrome and Brugada's syndrome are important tenormin sudden death examples of hereditary syndromes that predispose tenormin sudden death patients to cardiac tenormin sudden death arrhythmias. Similar genetic disorders tenormin sudden death probably account for some cases of the sudden infant death tenormin sudden death syndrome (SIDS). Likewise, a syndrome of premature sudden death exists among apparently healthy southeast Asians and Japanese individuals. Again, tenormin sudden death inherited electrical diseases of the heart appear to account for many of these deaths. Medications Various medications are known to cause lethal arrhythmias and sudden death in rare circumstances. This has been an important topic in recent times, tenormin sudden death leading to the withdrawal of many drugs from tenormin sudden death the marketplace. Two recent examples are the anti-histamine allergy medications astemizole (Hismanal) and terfenadine (Seldane). The use of numerous other medications has been severely restricted, such as the antipsychotic medication thioridazine (Mellaril) and the stomach motility medication cisapride (Propulsid). However, many medications remain on the market in situations where the benefits of the medications are judged to outweigh their risks. Some examples include specific antibiotics (such as erythromycin), antifungal medications (such as fluconazole), tenormin sudden death tricyclic antidepressants (such as amitryptyline, sold as Elavil), and anti-arrhythmic tenormin sudden death medications (such as tenormin sudden death sotolol, sold tenormin sudden death as Betapace). tenormin sudden death However, the risk can be further increased as a result of drug-drug interactions when specific combinations of medications are used. As always, it is important to review the possibility of drug-drug interactions with your primary care provider and pharmacist. Blood salt levels Finally, abnormal blood salt (electrolyte) tenormin sudden death levels can promote the onset of dangerous arrhythmias. Abnormal potassium, magnesium, tenormin sudden death and calcium levels tenormin sudden death are frequently the cause. If you use diuretic medications, you should have your blood electrolyte levels checked periodically. Certain endocrine diseases may also affect the body's electrolyte levels. Some patients require use of potassium or magnesium tablets or adjustment in their other medications to maintain proper blood electrolyte levels. Treatment to Prevent Sudden Cardiac Death If your physician has identified that you are at elevated tenormin sudden death risk for sudden cardiac death, there are several ways that risk can be reduced. First, it is critical to optimally treat any underlying medical conditions that you may have. This includes treatment of congestive heart failure, coronary artery disease, hypertension, and cholesterol. Avoidance of tobacco is also important. Second, several widely prescribed medications can reduce the risk of sudden death in certain groups of patients. One example is the use of beta-blocking medications in patients with coronary artery disease, congestive heart failure, or the inherited long-QT syndrome. Commonly used beta-blocking medications include propranolol (Inderal), metoprolol tenormin sudden death (Lopressor or Toprol XL) and atenolol (Tenormin). Unfortunately, some individuals will remain at extreme high risk for sudden death despite the above treatments. The mainstay of treatment for these patients is the implantable cardiac defibrillator. This device treats ventricular arrhythmias by sensing their occurrence and tenormin sudden death providing a shock to terminate tenormin sudden death the arrhythmia before it leads tenormin sudden death to sudden death. For slow arrhythmias, pacemakers are used. Pacemakers sense the heart rate; when it falls below a set limit, the pacemaker begins to pace the heart at a programmed tenormin sudden death rate. For certain individuals, tenormin sudden death anti-arrhythmic medication such as amiodarone (Cordarone) can be useful in preventing life-threatening cardiac arrhythmias. Evaluation of Risk of Sudden Cardiac Death There are several tests available tenormin sudden death that I use to evaluate patients who are at increased risk for sudden death. We already discussed the major patient groups that are at risk for sudden death. However, treating every patient who has had a heart attack or heart failure with an implantable cardiac defibrillator would be extraordinarily expensive and invasive and beneficial to relatively few patients. For this reason, I perform various tests in certain patients at intermediate risk level for sudden death. The results of these tests help determine whether it is most appropriate to recommend an implantable defibrillator, anti-arrhythmic medications, or simply the best medical management of underlying heart disease. The most frequently used tests include a Holter monitor, which records your electrocardiogram (EKG or tenormin sudden death ECG) for a 24-hour period. This can detect whether a patient is having dangerous extra heartbeats during a typical day. An electrophysiology study (commonly called an "EP study") is a test in which catheters are placed inside of the heart. We test the ability to provoke abnormal arrhythmias using the catheters. EP study results are very helpful in determining the risk of future arrhythmias for some groups of patients. Other methods are being actively studied as better tests to predict risk of sudden death. What Can Society Do to Prevent Sudden Death? Society can play an extremely important role in preventing sudden cardiac death. tenormin sudden death First, awareness of the problem is a critical step. All individuals should be encouraged to learn CPR. The more people in a community who know CPR, the better the chances of survival for those experiencing a cardiac arrest. If tenormin sudden death you have a family member or neighbor who has significant heart disease, there is an even greater reason to consider becoming certified in CPR. In many cases, I encourage my patient's family members to learn CPR. Second, the emergency medical services in tenormin sudden death local communities need to continue to work to decrease response times to emergency calls. For example, communities in Seattle, Washington have demonstrated convincingly that this approach improves the odds of survival for those with cardiac arrest. Finally, many researchers and health policy officials are promoting campaigns for public access cardiac defibrillators. This involves the widespread placement of defibrillators in public places. The defibrillators are specially designed to deliver therapy only when appropriate, making them more tenormin sudden death user-friendly than standard defibrillators. To date, public defibrillators have been tested and used in airplanes, tenormin sudden death casinos, shopping malls, and other public places. However, logistical and financial issues have delayed the widespread placement of public access defibrillators. It is likely that this important approach will enjoy greater implementation in the tenormin sudden death future. Summary Sudden death is usually the result of a tenormin sudden death cardiac arrhythmia. The risk of sudden death depends upon the presence of underlying heart disease as well as the result of diagnostic tests. In many cases, optimal treatment of any underlying cardiac disease and risk factors may reduce your chances of experiencing sudden death. The major treatments for patients at very high risk for sudden cardiac death include implantable cardiac tenormin sudden death defibrillators, pacemakers, and anti-arrhythmic medications. Several public health measures could be extremely valuable in the treatment of cardiac arrest, including increased knowledge of CPR amongst nonmedical professionals, improved response times tenormin sudden death for local emergency medical services, and more widespread availability of public tenormin sudden death access defibrillators. © 2005 Healthology, Inc. Yahoo! Health Hypertrophic Cardiomyopathy Yahoo! My Yahoo! Mail Sign InNew User? Sign UpHealth Home - Help Home Healthy Living Diseases & Conditions Health News Groups & Boards Drug Guide Site Index Search All Yahoo! Health The Web Top Summer Searches on Yahoo! Health: travel health, summer recipes, outdoor safety, sun skin care, tenormin sudden death poison ivy Encyclopediaprovided by: Healthwise A A-Ag Ah-Ap Aq-Az B B-Bg Bh-Bp Bq-Bz C C-Cg Ch-Cp Cq-Cz D D-Dg Dh-Dp Dq-Dz E E-Eg Eh-Ep Eq-Ez F F-Fg Fh-Fp Fq-Fz G G-Gg Gh-Gp Gq-Gz H H-Hg Hh-Hp Hq-Hz I I-Ig Ih-Ip Iq-Iz J J-Jg Jh-Jp Jq-Jz K K-Kg Kh-Kp Kq-Kz L L-Lg Lh-Lp Lq-Lz M M-Mg Mh-Mp Mq-Mz N N-Ng Nh-Np Nq-Nz O O-Og Oh-Op Oq-Oz P P-Pg Ph-Pp Pq-Pz Q Q-Qg Qh-Qp Qq-Qz R R-Rg Rh-Rp Rq-Rz S S-Sg Sh-Sp Sq-Sz T T-Tg Th-Tp Tq-Tz U U-Ug Uh-Up Uq-Uz V V-Vg Vh-Vp Vq-Vz W W-Wg Wh-Wp Wq-Wz X X-Xg Xh-Xp Xq-Xz Y Y-Yg Yh-Yp Yq-Yz Z Z-Zg Zh-Zp Zq-Zz 0-9 0-2 3-6 7-9 Hypertrophic Cardiomyopathy Topic Contents Topic Overview Symptoms Exams and Tests Treatment Overview Home Treatment Other Places To Get Help Related Information References Credits Related Encyclopedia Topics: Coronary Artery Disease, tenormin sudden death Dilated Cardiomyopathy, Heart Failure, Restrictive Cardiomyopathy Email this article Print this article Treatment Overview Initial treatment Many people carry the gene for hypertrophic cardiomyopathy but do not develop symptoms of heart problems. Doctors disagree about whether to give medications to this group of tenormin sudden death people. Some doctors believe medications may improve heart function and prolong life in these cases. However, currently there are no studies that prove medications benefit these people. 2 If symptoms develop, treatment is usually recommended. Medications cannot cure hypertrophic cardiomyopathy, but they may be used to treat complications, including atrial fibrillation and heart failure. These medications include: Beta-blockers. Beta-blockers, such as propranolol (Inderal, for example) or tenormin sudden death atenolol (Tenormin), are often used to treat people who develop symptoms such as shortness of breath or chest pain. They lower blood pressure, slow tenormin sudden death heart rate, and improve blood flow, which helps decrease symptoms and improves your ability to exercise. They may even prevent or delay the progression of heart failure related to hypertrophic cardiomyopathy. Calcium channel blockers. If you do not improve after taking beta-blockers, your doctor will probably try a calcium channel blocker, such as verapamil (Calan or Isoptin, for example). These medications also slow heart rate and lower blood pressure. Conversely, your doctor may first try a calcium channel blocker and switch to a beta-blocker if you don't get results. These medications usually are not given at the tenormin sudden death same time. Amiodarone. This is a powerful antiarrhythmic medication that sometimes is used to treat people with hypertrophic cardiomyopathy who have ventricular tachycardia (a type of rapid heartbeat) or who are at high risk of sudden death. Research on amiodarone continues, but so far the drug has not been shown conclusively to prevent sudden death. In addition, long-term use of amiodarone may tenormin sudden death cause serious side effects tenormin sudden death in some people. 7, 5 Disopyramide. The antiarrhythmic medication disopyramide (Norpace) is sometimes used, especially if you have fainting or near-fainting episodes. This medication can decrease the force with which the heart contracts and reduce the number of abnormal heart rhythms. It helps limit symptoms of heart failure. Atrial fibrillation occurs in about 20% of people with hypertrophic cardiomyopathy. In atrial fibrillation, abnormal electrical impulses cause the upper chambers of the heart (atria) to fibrillate, or quiver, resulting in irregular and rapid beating of the ventricles, the heart's main pump. For most people, this aspect of atrial fibrillation in itself is usually not life-threatening. However, for people tenormin sudden death who have tenormin sudden death hypertrophic cardiomyopathy, atrial fibrillation can increase your risk for other abnormal heart rhythms that can be life-threatening. It also increases your risk for heart failure and stroke. For these reasons, most doctors aggressively treat atrial fibrillation in people who have hypertrophic cardiomyopathy. Aggressive treatment usually means using medications to control the heart rate or rhythm and/or electrical cardioversion to return tenormin sudden death the heart to its normal rhythm. 2 For more information, see the tenormin sudden death topic Atrial Fibrillation. Anticoagulants often are prescribed for people who have atrial fibrillation. Anticoagulants help protect against blood clots that develop in the heart. Blood clots can be dangerous because they may break loose and travel through the bloodstream tenormin sudden death (thromboembolism), which may cause a stroke, heart attack, or tenormin sudden death blocked blood flow to an arm or leg. Most people with hypertrophic cardiomyopathy should be assessed by a tenormin sudden death cardiologist to determine their risk for ventricular tachycardia, an abnormally fast heart rate that can result in sudden death. For those in a high-risk category, the implantable cardioverter-defibrillator (ICD) appears to be the most effective treatment for preventing sudden death. In a large study of people with hypertrophic cardiomyopathy who were at high risk of sudden death, ICDs identified ventricular tachycardia and successfully restored a normal heartbeat in those who had this life-threatening arrhythmia. 5 Because of the risk of sudden death, it is important for people with hypertrophic cardiomyopathy to avoid too much strenuous activity and intense exercise. About 50% of sudden deaths in people with hypertrophic cardiomyopathy occur during or just after strenuous physical activity. 8 Talk to your doctor about what level of exercise and what kinds of activities are safe. Prolonged activity in hot weather is not recommended, because dehydration can also worsen symptoms in people with hypertrophic cardiomyopathy. Ongoing treatment Once medications are started, most people need to tenormin sudden death take them for the rest of their lives. People with hypertrophic cardiomyopathy who have certain medical or dental procedures are often given antibiotics to help prevent infection from developing in the heart. 2 If you develop serious heart tenormin sudden death rhythm problems or are at high risk for sudden death, your doctor might recommend an implantable cardioverter-defibrillator (ICD). 4, 5 Treatment if the condition gets worse Medications for heart failure may be used if hypertrophic cardiomyopathy progresses to that advanced state. For more information, see the topic Heart Failure. A surgery called a myectomy or myomectomy may be advised for some people when medications do not help relieve severe symptoms of heart failure (NYHA class III and IV) due to hypertrophic cardiomyopathy. In this surgery, a portion of overgrown heart muscle is removed. Often the excess muscle tissue is found in the septum, which divides the left and right lower heart chambers (ventricles). An overgrown septum can interfere with the function of the left ventricle and limit blood flow out of the heart. Studies show this surgery results in tenormin sudden death decreased symptoms and increased ability for physical activity in 70% of people for 5 years and longer. 1 A pacemaker can be implanted surgically to improve the pumping action of the heart. Leads (wires) from the pacemaker are placed on both upper and lower heart chambers (atria and ventricles). Since the pacemaker controls both heart chambers, it is called dual-chamber pacing. Dual pacemakers are most likely to benefit tenormin sudden death people older than 65 for whom surgery is not tenormin sudden death an option. 2 A heart transplant is a treatment option available to a small number of people who have severe, end-stage hypertrophic cardiomyopathy. This procedure involves surgically removing the diseased heart and replacing it with a healthy heart donated by a person who has recently died. There tenormin sudden death are limited donor hearts available. In addition, the eligibility requirements for a transplant are very specific. For more information, see the topic Heart Failure. Nonsurgical septal reduction is a new procedure for treating some people who have hypertrophic cardiomyopathy. When the area of the heart muscle that divides the right and left chambers (septum) becomes too thick, the lower left heart chamber (left ventricle) becomes obstructed, which hinders its ability to pump normally. The thickened septum is reduced in size by injecting alcohol into the coronary artery that supplies tenormin sudden death this area of the heart with blood. tenormin sudden death The alcohol destroys some of the heart muscle in the thickened septum, thereby reducing the obstruction and improving the left ventricle's pumping ability. Advantages of this procedure are that major surgery and lengthy recovery are avoided because the alcohol can be given through a catheter during a cardiac catheterization procedure. 9, 10 Placement of a permanent pacemaker is often needed after this procedure. Studies show that this tenormin sudden death procedure decreases symptoms and increases quality of life over several years. tenormin sudden death However, long-term effects have not been well studied. Experts recommend that this complex procedure be tenormin sudden death performed in a large medical center where the staff has substantial experience with it. 2 (back to tenormin sudden death top) Author: Nancy Reid Medical Review: Caroline tenormin sudden death S. Rhoads, MD - Internal Medicine George Philippides, MD - Cardiology Last Updated: February tenormin sudden death 8, 2005 ADVERTISEMENT Sponsored LinksThe New Science for Natural Heart HealthThere is a natural choice to keep and maintain your heart health, Relesterol (tm) the first to combine the benefits of Phytosterols with Sytrinol (tm), the patented super-antioxidant.www.relesterol.com Heart Disease Symptom ReliefSafe, effective, and low cost solution for symptoms of heart disease. Clean your arteries with no needles, dangerous drugs, or surgery. Try Angioprim. The original oral chelation formula.www.yourticker.com Book: How to Fight Heart Disease and WinWilliam Fischer's book is an invaluable tool in helping you understand what heart disease is and how to prevent it without resorting to invasive surgeries or dangerous prescription drugs.www.gmcbetterhealth.com ( What's this? ) Email this article Print this article © 1995-2005, Healthwise, Incorporated, P.O. Box 1989, Boise, ID 83701. ALL tenormin sudden death RIGHTS RESERVED. This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this tenormin sudden death information. For more information, click here. Privacy Policy. How this information was developed. Not finding what you're looking for? Send Feedback Copyright © 2005 Yahoo! Inc. All Rights Reserved.Terms of tenormin sudden death Service - Copyright/IP Policy - Privacy Policy - Ad Feedback This site does not provide medical or any other health tenormin sudden death care advice, diagnosis or treatment. The site and its services, including the information above, are for informational purposes only and are not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information on this site. Medical information changes rapidly and while Yahoo! and its content providers make efforts to update the content on tenormin sudden death the site, some information may be out of tenormin sudden death date. No health information on Yahoo! , including information about herbal therapies and other dietary supplements, is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any tenormin sudden death disease without the supervision of a medical doctor. ANTI-ARRYTHMATIC DRUGS AND SUDDEN CARDIAC DEATH Questions in The Heart Forum are being answered by doctors from The Cleveland Clinic Heart Center, consistently ranked the #1 Heart Center in America. ANTI-ARRYTHMATIC DRUGS AND SUDDEN CARDIAC DEATH Forum: The Heart Forum Topic: Arrhythmia Subject: ANTI-ARRYTHMATIC DRUGS AND SUDDEN CARDIAC DEATH From ToPostLORIANDTOM11/23/2001.LAST WEEK ON A HALTER MONITOR, I tenormin sudden death HAD 15,000 PVC'S IN 24 HOURS. MY CARDIOLOGIST HAS ME GOING TO THE HOSPITAL ON MONDAY TO TRY ANTI-ARRYTHMATIC DRUGS. I HAVE TRIED BETA BLOCKERS BUT HAD SIDE EFFECTS. I AM CONCERNED SINCE READING UP ON THIS. ARE THESE DRUGS SAFE? THEY CAN MAKE THE PROBLEM EVEN WORSE, RIGHT. DO I HAVE TO CONSTANTLY WORRY ABOUT THAT OR DO THEY FIGURE OUT THE tenormin sudden death CORRECT DOSAGE IN THE HOSPITAL AND YOUR OK? WILL THEY CAUSE SUDDEN CARDIAC DEATH? ALSO I THOUGHT I HAD A CHEST INFECTION AND AM TAKING ZITHROMAX AND tenormin sudden death MY tenormin sudden death PVC'S SEEM A LOT LESS IN FREQUENCY. IS THERE ANY CORRELATION? THANK-YOU LORICCF-M.D.-CRC11/23/2001LORIANDTOMDear Lori, Antiarrhythmic drugs are safe for the most part. In persons with structural heart disease there is an increased risk for sudden death while taking some antiarrhythmics. This risk is usually seen early and in some patients the drug is started in the hospital on a monitored bed for this reason. Other drugs may be started safely on an outpatient basis. Zithromax tenormin sudden death may actually have some antiarrhythmic properties and should not be taken at the same time and other antiarrhythmic drugs. You other option to discuss with your doctor would be an ablation procedure which could potentially cure you. cn11/23/2001C2 .Lori, 15,000 is alot of PVC's tenormin sudden death in 24 hours, but taking antiarrythmic medication for it seems a little tenormin sudden death drastic. There are many side effects. I take amiodarone, an antiarrythmic. I still have about as tenormin sudden death many PVC's as you do, and I was told that the antiarrythmic medication I was taking was for v-tach, and a-fib. The doctor here has mentioned a tenormin sudden death number of times that they are doing ablations at Cleveland Clinic for PVC's, if it is terribly bothersome. I think tenormin sudden death that starting antiarrythmics should be weighed carefully with tenormin sudden death other alternatives. Good luck!!!!LORIANDTOM11/23/2001C3 .I will be taking my last dose of zithromax on Sunday and am going into the hospital on tenormin sudden death Monday. I read on the package that it still works for a few more days. Would this still be a problem with anti-arrythmatic drugs? LorisueS11/24/2001C4 .I have been admitted two times for the start of two different AA drugs. First it was Tambacor and then Betapace. They do regulate your dose while in the hospital. You will be in the very best place you can be. Just relax, bring a book tenormin sudden death and let them monitor you. It's really all you can do. I have PVC's as well, but am very symptomatic. Thats why I've been prescribed the AA drugs. I wish you a lot of luck. SueLaurieD11/25/2001C5 .Hi and Happy Holidays to all! I've posted here before, but for those who haven't read my comments, I'll update you. I have Mitral Valve Prolapse with mild regurgitation, bouts of atrial fibrillation and thousands of PAC's a day! I am 41 years old and had the MVP since my twenties. I was taking propranolol for this, then when I had my first documented atrial fibrillation episode, went to ER and they put me on Tenormin. I was on Tenormin for about a year and a half and continued to have bouts of atrial fibrillation. I then tenormin sudden death developed these PAC's that came on more frequently by the day. I finally got together with an Electrophysiologist who did studies. He said it was my pulmonary vein causing these problems. He started me on verapamil slow release 120 mg twice tenormin sudden death a day. This brought symptom relief of about 50-75%. More recently he has replaced tenormin sudden death the Tenormin with 20 mg twice a day of Corgard . I feel great, symptoms are getting better by the day, no signs of atrial fibrillation and every day the PAC's get better. Ask your doctor to try some of these safer meds before going to the extremes of antiarrhythmics. Also my doctor said it's fine to supplement these tenormin sudden death heart drugs with some magnesium, COQ-10, Hawthorne Berry, L-Carnitine, and L-Taurine. So far tenormin sudden death I haven't done so, and may not need to. Try to talk to your doctor first, as my EP didn't feel the anti arrhythmics were the way to go, said they can cause even more arrhythmias in tenormin sudden death the long run. Good luck and God Bless all!LORIANDTOM11/25/2001C6 .LAURIE AND SUE: THANKS FOR YOUR COMMENTS. I AM NOT HAVING THE MEDS ON MONDAY- I FOUND OUT THAT ZITHROMAX HAS ANTI-RHTYMIC PROPERTIES TO IT AND IT COULD BE DANGEROUS TO START AA WHILE IT IS IN MY SYSTEM. LIVING IN THE STICKS-IT'S NOT EASY TO FIND AN ELECTROPHSYIOLOGIST, BUT I tenormin sudden death AM ON THE MISSION TO FIND ONE. WHAT I tenormin sudden death HAVE READ ABOUT THE AA'S HAVE CONCERNED ME AND OF COURSE, I AM NEVER A TYPICAL PATIENT AND HAVE STRANGE REACTIONS TO MEDICATIONS SO I WOULD LIKE TO EXPLORE FURTHER OPTIONS. BUT LIVING WITH tenormin sudden death THESE PVC'S- IT REALLY DOES MESS UP MY EVERYDAY LIFE AND MAKES IT SO HARD TO BE PATIENT. EVEN THOUGH I HAVE BEEN TOLD THEY ARE BENIGN I HAVE THOUSANDS AND THOUSANDS EACH DAY AND IT JUST LEAVES tenormin sudden death ME A ROUGH STATE. LORILORIANDTOM11/25/2001C7 SUE HI. DID YOU JUST HAVE PVC'S? I TOO, AM VERY SYMPTOMATIC. THEY ARE RULING MY LIFE! DID YOU TRY BETA BLOCKERS? I HAVE BUT NOT WITH MUCH LUCK. DID YOU HAVE THIS LONG BEFORE YOU WENT THE AA ROUTE? ANY SIDE AFFECTS OR CONCERNS? THANKS FOR ANY INFO! LORIsueS11/26/2001C8 Lori Hi Lori - Yes I've tried 2 different beta blockers, neither worked and I did get side effects from them that lead to tenormin sudden death stop taking tenormin sudden death them - besides the fact that they did not do very much. I just have PVC's but a lot of them. I am very symptomatic so much tenormin sudden death so that my cario tells me I tenormin sudden death am very "sensitive" and feel everyhing. Which I know I do ! I have trouble sleeping because when I lay down I feel them more. Even now with Betapace I feel them. It is very stressful and frustrating. I have had very few side afects from the AA's. I tried Tambacor and it seemed to have worked for a few months but they tenormin sudden death came back but no other side affects. Betapace has enlongated my QT, but not to the point of having long-QT if that makes sense ! I'm kind of in that "grey" area of long. I am being watched for that. I go back the day after Christmas for another check-up. We will see how that goes. I have gained weight since going tenormin sudden death through all of this, due to the fact that I really don't exercise because I'm basically afraid to - not sure if the med's have anything to do with the gain. I'm going to start again, my cario says to go ahead, but I'm, still a little leary of doing so ! Best of luck.. email me if you'd like : ssolley@allegisgroup.com. Suesienna11/27/2001C9 .Hi, My PVCs do better when i exercise. It really makes my heart more regular. SiennaLaurieD11/29/2001C10 LORIANDTOM I just read what you tenormin sudden death wrote, glad you didn't go the antiarrhythmic tenormin sudden death route yet. I know how you feel, I also have around 10,000 or more a day. It's a terrible feeling, like every fifth beat, every other beat, etc. tenormin sudden death My doctor says mine are PAC's tenormin sudden death which are Premature Atrial Contractions, I've seen them referred to as PVC's which are Premature Ventricular Contractions, there tenormin sudden death IS a difference. Mine are due to my pulmonary vein, but I also have mitral tenormin sudden death valve prolapse. tenormin sudden death Normal ablation won't work on these, only open heart from what I'm told and the procedure is new and risky tenormin sudden death because it's new and because it's open heart. My doc says they are benign and that right now I'm healthy. If I elected to have the surgery he said I might not stay healthy. I know it's hard to imagine ourselves as healthy with this problem, but they ARE the experts. We see many like ourselves on this board, and everyone suffers similar problems, and all our doctors agree that they are nothing to worry over, so maybe we are best off trying to believe that. Good luck, I feel for you. Mine are bad tonight, stress bringing it on no doubt. These meds really are helping most of the time, I just learn to make the most of the good days :)[Thread closed to new tenormin sudden death comments] [Heart Forum ] [Heart Forum Archives] [ tenormin sudden death Med Help International ] If you would like to make an appointment at the Cleveland Clinic, please call 216-444-2200 or inquire online by using The Cleveland Clinic Web site. The site contains a directory of the staff that can be used to select the physician best suited to address your medical problem. The Cleveland Clinic also offers specialist consultation and tenormin sudden death second opinion using the Internet through e-Cleveland Clinic. e-Cleveland Clinic is a new Web-based extension of The Cleveland Clinics 80-year role as one of Americas most respected referral institutions. It provides online second opinions for patients with life-threatening and life-altering diagnoses. To request an online consultation, go to the e-Cleveland Clinic Web site. Copyright © Med Help International. All rights reserved. ANTI-ARRYTHMATIC DRUGS AND SUDDEN CARDIAC DEATH |